This is a working migration guide for Nurse Practitioners under ANZSCO 254411 in 2026. Advanced practice nursing — RN registration via NMBA + NP endorsement.
For costs and timelines see the 254411 cost & timeline case study. For ANMAC, see the skills assessment guide.
What 254411 covers
ANZSCO 254411 covers Nurse Practitioner advanced practice (with NP endorsement):
- Independent advanced clinical practice
- Prescribing (within scope)
- Diagnostic ordering and interpretation
- Referrals to specialists
- Specialty NPs (emergency, mental health, paediatric, women's health, etc.)
- Primary care NPs / general practice NPs
- Aged care NPs
Visas open to 254411
| Visa | Open? | Notes |
|---|---|---|
| 189 Independent | ✅ | Full points-tested PR |
| 190 State-nominated | ✅ | Strong demand |
| 491 Regional state-nominated | ✅ | Critical regional shortage |
| 186 ENS Direct Entry | ✅ | Hospital sponsors |
| 494 Regional employer-sponsored | ✅ | Regional |
| 482 Core Skills | ✅ | 4-year stream |
See Subclass 189, 190, 491, 186, 494, and 482.
ANMAC + NP endorsement
Required for visa + NP endorsement:
- RN qualification (BSc Nursing or equivalent) + origin-side RN registration
- Master's of Nurse Practitioner (or equivalent)
- Advanced practice experience (typically 3+ years post-Master's)
- Origin-side NP / ANP / equivalent credential
- Continuing professional development records
- English language test (typically OET B grade or IELTS Academic 7.0 each band)
NMBA NP endorsement assessed against advanced practice standards.
Sponsors that hire 254411
- Public hospital networks — emergency departments, mental health services, women's health, aged care
- Primary care / general practice — GP-NP collaborative practices
- Aged care providers — substantial NP demand
- Specialty clinics — diabetes, cardiac, oncology, palliative, women's health
- Regional / rural — substantial NP demand for filling gaps
Common mistakes
- Confusing ANP / advanced clinical practice with NP endorsement. UK ANP is broadly equivalent but NMBA NP endorsement is the recognised credential
- English test too old. OET / IELTS validity ~2-3 years
- Origin-side RN registration restrictions. Unrestricted essential
Tools
- Eligibility wizard
- ANZSCO search — verify 254411 vs RN codes
- Document checklist
- Visa fee calculator
Where to verify
Next step
Want help mapping your NP profile to ANMAC + NMBA endorsement? Book a 30-minute free strategy call.
Nurse Practitioner
ANZSCO 254411
AHPRA
NMBA
NP Endorsement
Skilled Migration
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